Rachael Ann Dudczak, LICENSED COUNSELOR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001386 Issued in NY

Practice address

650 Ridge Rd
Lackawanna, NY 14218-1435

Phone

(716) 828-9700

NPI assigned

Mar 15, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harmonia Collaborative Care Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Derby, NY
  • NPI 1497828461

  NY

  Medicare reassignment NPD
• Baker Hall

  • Developmentally Disabled Services Day Training Agency
  • Lackawanna, NY
  • NPI 1669695391
  NPD (past)
• Baker Hall Inc

  • Community/Behavioral Health Agency
  • Lackawanna, NY
  • NPI 1245352921
  NPD (past)
• Hillview Mental Health Counseling PLLC

  • Mental Health Counselor
  • Depew, NY
  • NPI 1326422452

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1346549490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181435",
            "telephone_number": "716-828-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181435",
            "telephone_number": "716-828-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDCZAK",
        "first_name": "RACHAEL",
        "middle_name": "ANN",
        "credential": "LICENSED COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Lynn Donaldson, MSED, LMHC
• Stephanie Lil Dorman, LMSW
• Calene Dougherty
• Dr. Zambron'S Dental Office
• Hanna Dryjski
• Karen Dwyer
• Danielle Dylik, LMSW
• Katherine Dziewa
• Stephanie Eberl, RN, CCM
• Margaret Mary Edbauer, MSCCC-SLP

• All providers in Lackawanna, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.